Jetas Dental

NPI #1396209219 in Southbury, Connecticut

Provider Information

NPI Number: 1396209219
Entity Type: Organization
Organization Name: Jetas Dental
Primary Specialty: Dentist
Enumeration Date: Jan 24, 2019
Last Updated: Jan 24, 2019

Practice Location

Address: 1449 OLD WATERBURY RD
Address 2: UNIT 202, ONE RESERVOIR PARK
City: Southbury
State: Connecticut
ZIP Code: 06488-3926
Phone: (203) 262-8051

Authorized Official

Name: JETA ZEDEK, DDS
Title: DENTIS
Phone: (203) 262-8051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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